Active NPI
George Francis Gagne, M.D.
- Internal Medicine Physician
- Bridgewater, MA
National Provider Identifier
1598722837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52573
- Practice address
- 481 Bedford St
Suite 1
Bridgewater, MA 02324-3152 - Phone
- (508) 697-3123
- Fax
- (508) 279-1630
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52573 | MA | Primary |
Addresses
Primary practice location
481 Bedford St
Suite 1
Bridgewater, MA 02324-3152
Mailing address
481 Bedford St
Suite 1
Bridgewater, MA 02324-3152
Phone (508) 697-3123
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-04276 | Other | MA | EVERCARE |
| S010488 | Other | MA | CHAMPUS |
| 517180 | Other | MA | CIGNA HMO |
| B1040680 | Other | MA | CIGNA PPO |
| 6179 | Other | MA | HARVARD PILGRIM |
| 110010425 | Other | MA | RAILROAD MEDICARE |
| 9077131 | Other | MA | PHCS |
| 04-2834328 | Other | MA | GIC |
| 0441133 | Other | MA | UNITED HEALTHCARE |
| 6179525 | Medicaid | MA | |
| 711266 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1598722837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 BEDFORD ST",
"address_2": "SUITE 1",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243152",
"telephone_number": "508-697-3123",
"fax_number": "508-279-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 BEDFORD ST",
"address_2": "SUITE 1",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243152",
"telephone_number": "508-697-3123",
"fax_number": "508-279-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNE",
"first_name": "GEORGE",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "52573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-04276",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "S010488",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "517180",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "B1040680",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "6179",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110010425",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9077131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC",
"identifier": "04-2834328",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0441133",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6179525",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "711266",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.